Individual
MS. CELESTE MARIE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5559 CANAL BLVD., NEW ORLEANS, LA 70124-2745
(504) 309-5811
(504) 309-5877
Mailing address
1230 TOLEDANO ST APT 1, NEW ORLEANS, LA 70115-3431
(314) 324-0700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04453
LA
2251G0304X
Geriatric Physical Therapist
04453
LA
2251X0800X
Orthopedic Physical Therapist
04453
LA
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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